| 1 | Representative Farkas offered the following: | 
| 2 | 
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| 3 | Amendment to Amendment (954111) | 
| 4 | Remove lines 845-949 and insert: | 
| 5 | (7) (6)As a condition of renewal of a license, the Board | 
| 6 | of Medicine, the Board of Osteopathic Medicine, the Board of | 
| 7 | Chiropractic Medicine, and the Board of Podiatric Medicine shall | 
| 8 | each require licensees which they respectively regulate to | 
| 9 | periodically demonstrate their professional competency by | 
| 10 | completing at least 40 hours of continuing education every 2 | 
| 11 | years. The boards may require by rule that up to 1 hour of the | 
| 12 | required 40 or more hours be in the area of risk management or | 
| 13 | cost containment. This provision shall not be construed to limit | 
| 14 | the number of hours that a licensee may obtain in risk | 
| 15 | management or cost containment to be credited toward satisfying | 
| 16 | the 40 or more required hours. This provision shall not be | 
| 17 | construed to require the boards to impose any requirement on | 
| 18 | licensees except for the completion of at least 40 hours of | 
| 19 | continuing education every 2 years. Each of such boards shall | 
| 20 | determine whether any specific continuing education requirements | 
| 21 | not otherwise mandated by law shall be mandated and shall | 
| 22 | approve criteria for, and the content of, any continuing | 
| 23 | education mandated by such board. Notwithstanding any other | 
| 24 | provision of law, the board, or the department when there is no | 
| 25 | board, may approve by rule alternative methods of obtaining | 
| 26 | continuing education credits in risk management. The alternative | 
| 27 | methods may include attending a board meeting at which another | 
| 28 | licensee is disciplined, serving as a volunteer expert witness | 
| 29 | for the department in a disciplinary case, or serving as a | 
| 30 | member of a probable cause panel following the expiration of a | 
| 31 | board member's term. Other boards within the Division of Medical | 
| 32 | Quality Assurance, or the department if there is no board, may | 
| 33 | adopt rules granting continuing education hours in risk | 
| 34 | management for attending a board meeting at which another | 
| 35 | licensee is disciplined, for serving as a volunteer expert | 
| 36 | witness for the department in a disciplinary case, or for | 
| 37 | serving as a member of a probable cause panel following the | 
| 38 | expiration of a board member's term. | 
| 39 | (8) (7)The boards, or the department when there is no | 
| 40 | board, shall require the completion of a 2-hour course relating | 
| 41 | to prevention of medical errors as part of the licensure and | 
| 42 | renewal process. The 2-hour course shall count towards the total | 
| 43 | number of continuing education hours required for the | 
| 44 | profession. The course shall be approved by the board or | 
| 45 | department, as appropriate, and shall include a study of root- | 
| 46 | cause analysis, error reduction and prevention, and patient | 
| 47 | safety. In addition, the course approved by the Board of | 
| 48 | Medicine and the Board of Osteopathic Medicine shall include | 
| 49 | information relating to the five most misdiagnosed conditions | 
| 50 | during the previous biennium, as determined by the board. If the | 
| 51 | course is being offered by a facility licensed pursuant to | 
| 52 | chapter 395 for its employees, the board may approve up to 1 | 
| 53 | hour of the 2-hour course to be specifically related to error | 
| 54 | reduction and prevention methods used in that facility. | 
| 55 | (9) (8)The respective boards within the jurisdiction of | 
| 56 | the department, or the department when there is no board, may | 
| 57 | adopt rules to provide for the use of approved videocassette | 
| 58 | courses, not to exceed 5 hours per subject, to fulfill the | 
| 59 | continuing education requirements of the professions they | 
| 60 | regulate. Such rules shall provide for prior approval of the | 
| 61 | board, or the department when there is no board, of the criteria | 
| 62 | for and content of such courses and shall provide for a | 
| 63 | videocassette course validation form to be signed by the vendor | 
| 64 | and the licensee and submitted to the department, along with the | 
| 65 | license renewal application, for continuing education credit. | 
| 66 | (10) (9)Any board that currently requires continuing | 
| 67 | education for renewal of a license, or the department if there | 
| 68 | is no board, shall adopt rules to establish the criteria for | 
| 69 | continuing education courses. The rules may provide that up to a | 
| 70 | maximum of 25 percent of the required continuing education hours | 
| 71 | can be fulfilled by the performance of pro bono services to the | 
| 72 | indigent or to underserved populations or in areas of critical | 
| 73 | need within the state where the licensee practices. The board, | 
| 74 | or the department if there is no board, must require that any | 
| 75 | pro bono services be approved in advance in order to receive | 
| 76 | credit for continuing education under this subsection. The | 
| 77 | standard for determining indigency shall be that recognized by | 
| 78 | the Federal Poverty Income Guidelines produced by the United | 
| 79 | States Department of Health and Human Services. The rules may | 
| 80 | provide for approval by the board, or the department if there is | 
| 81 | no board, that a part of the continuing education hours can be | 
| 82 | fulfilled by performing research in critical need areas or for | 
| 83 | training leading to advanced professional certification. The | 
| 84 | board, or the department if there is no board, may make rules to | 
| 85 | define underserved and critical need areas. The department shall | 
| 86 | adopt rules for administering continuing education requirements | 
| 87 | adopted by the boards or the department if there is no board. | 
| 88 | (11) (10)Notwithstanding any law to the contrary, an | 
| 89 | elected official who is licensed under a practice act | 
| 90 | administered by the Division of Medical Quality Assurance may | 
| 91 | hold employment for compensation with any public agency | 
| 92 | concurrent with such public service. Such dual service must be | 
| 93 | disclosed according to any disclosure required by applicable | 
| 94 | law. | 
| 95 | (12) (11)In any instance in which a licensee or applicant | 
| 96 | to the department is required to be in compliance with a | 
| 97 | particular provision by, on, or before a certain date, and if | 
| 98 | that date occurs on a Saturday, Sunday, or a legal holiday, then | 
| 99 | the licensee or applicant is deemed to be in compliance with the | 
| 100 | specific date requirement if the required action occurs on the | 
| 101 | first succeeding day which is not a Saturday, Sunday, or legal | 
| 102 | holiday. | 
| 103 | (13) (12)Pursuant to the federal Personal Responsibility | 
| 104 | and Work Opportunity Reconciliation Act of 1996, each party is | 
| 105 | required to provide his or her social security number in | 
| 106 | accordance with this section. Disclosure of social security | 
| 107 | numbers obtained through this requirement shall be limited to | 
| 108 | the purpose of administration of the Title IV-D program for | 
| 109 | child support enforcement. |